Individual provider Active NPI

Darrell M Brooks

  • Professional Counselor
  • College Park, GA
National Provider Identifier
1477800993
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006201 Issued in GA
Practice address
5524 Old National Hwy
Ste B
College Park, GA 30349-3212
Phone
(404) 763-8555
Fax
(404) 763-8502
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006201 GA Primary

Addresses

Primary practice location

5524 Old National Hwy
Ste B
College Park, GA 30349-3212

Mailing address

4132 Atlanta Hwy
Ste 110-224
Loganville, GA 30052-4930
Phone (678) 288-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206002271 GA Practitioner - Mental Health Counselor 1951750041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1800 Lake Park Dr SE
Suite 123
Smyrna, GA 30080-7639
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC006201GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Helping Hands Community Based Services, Inc. Past Accepting new patients
Lillie Cares Health Services, LLC Past Accepting new patients
Gye Nyame Therapeutic Counseling Past Accepting new patients

Locations

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

1800 Lake Park Dr SE
Ste 123
Smyrna, GA 30080
Phone (404) 720-9800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1477800993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 ATLANTA HWY",
            "address_2": "STE 110-224",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524930",
            "telephone_number": "678-288-6550",
            "fax_number": "678-288-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 OLD NATIONAL HWY",
            "address_2": "STE B",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493212",
            "telephone_number": "404-763-8555",
            "fax_number": "404-763-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DARRELL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.